DR. KEITH RANDALL GOULD DO
Prescription History 1285659607
Emergency Medicine in Paris, TN
Medicare Part D Prescription History
Explore the verified Medicare Part D prescription history, volume metrics, and calculated drug costs for DR. KEITH RANDALL GOULD DO, an active Emergency Medicine specialist practicing in Paris, TN. Our medical registry currently tracks 18 unique pharmaceutical formulations prescribed by this provider, representing an estimated volume of 1,063 documented patient claims. Among these therapy options, the most frequently utilized medication is Prednisone, which accounts for 258 claims alone. Use the table below to sort by claims, cost, or utilization compared with the state average; select any medication for its full profile.
| Medication | Prescriptions (2023)Rx (2023) | Avg Cost per FillCost / Fill | Vs. Other TN PrescribersVs. TN Avg |
|---|---|---|---|
| Prednisone | 258 | $1.69▼ below TN avg | ▲ More than typical |
About Prednisone: Prednisone is used to treat conditions such as arthritis, blood disorders, breathing problems, severe allergies, skin diseases, cancer, eye problems, and immune system disorders. Show more ▾ Prednisone belongs to a class of drugs known as corticosteroids. It decreases your immune system's response to various diseases to reduce symptoms such as swelling and allergic-type reactions. A synthetic anti-inflammatory glucocorticoid derived from CORTISONE. It is biologically inert and converted to PREDNISOLONE in the liver. In 2023, this provider wrote 258 Medicare prescriptions for Prednisone, about 4.8 times the volume of the typical Tennessee prescriber of this medication (54). Medicare paid an average of $1.69 per fill, versus $7.16 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average TN prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TN average for this medication. 258 30-Day Fills standardized to 30-day supplies 1,794 Days of Medication total across all patients in 2023 | |||
| Azithromycin | 154 | $5.02▼ below TN avg | ▲ More than typical |
About Azithromycin: This medication is used to treat certain eye infections. Show more ▾ It is a macrolide antibiotic that works by stopping the growth of bacteria. This medication treats only bacterial eye infections. It will not work for other types of eye infections. Unnecessary use or misuse of any antibiotic can lead to its decreased effectiveness. A semi-synthetic macrolide antibiotic structurally related to ERYTHROMYCIN. It has been used in the treatment of Mycobacterium avium intracellulare infections, toxoplasmosis, and cryptosporidiosis. In 2023, this provider wrote 154 Medicare prescriptions for Azithromycin, about 3.8 times the volume of the typical Tennessee prescriber of this medication (41). Medicare paid an average of $5.02 per fill, versus $9.67 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average TN prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TN average for this medication. 154 30-Day Fills standardized to 30-day supplies 772 Days of Medication total across all patients in 2023 | |||
| Ciprofloxacin Hcl | 116 | $7.38▼ below TN avg | ▲ More than typical |
About Ciprofloxacin Hcl: This medication is used to treat eye infections. Show more ▾ Ciprofloxacin belongs to a class of drugs called quinolone antibiotics. It works by stopping the growth of bacteria. This medication treats only bacterial eye infections. It will not work for other types of eye infections. Unnecessary use or overuse of any antibiotic can lead to its decreased effectiveness. A broad-spectrum antimicrobial carboxyfluoroquinoline. In 2023, this provider wrote 116 Medicare prescriptions for Ciprofloxacin Hcl, about 3.9 times the volume of the typical Tennessee prescriber of this medication (30). Medicare paid an average of $7.38 per fill, versus $8.31 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average TN prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TN average for this medication. 116 30-Day Fills standardized to 30-day supplies 850 Days of Medication total across all patients in 2023 | |||
| Tramadol Hcl | 111 | $1.19▼ below TN avg | ▲ More than typical |
About Tramadol Hcl: See also Warning section. Show more ▾ This medication is used to help relieve moderate to moderately severe pain. Tramadol belongs to a class of drugs known as opioid analgesics. It works in the brain to change how your body feels and responds to pain. A narcotic analgesic proposed for severe pain. It may be habituating. In 2023, this provider wrote 111 Medicare prescriptions for Tramadol Hcl, about 2.1 times the volume of the typical Tennessee prescriber of this medication (54). Medicare paid an average of $1.19 per fill, versus $8.11 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average TN prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TN average for this medication. 111 30-Day Fills standardized to 30-day supplies 336 Days of Medication total across all patients in 2023 | |||
| Sulfamethoxazole-TrimethoprimSulfamethoxazole/Trimethoprim | 99 | $5.13▼ below TN avg | ▲ More than typical |
About Sulfamethoxazole-Trimethoprim: This medication is a combination of two antibiotics: sulfamethoxazole and trimethoprim. Show more ▾ It is used to treat a wide variety of bacterial infections (such as middle ear, urine, respiratory, and intestinal infections). It is also used to prevent and treat a certain type of pneumonia (pneumocystis-type). This medication should not be used by children less than 2 months of age due to the risk of serious side effects. This medication treats only certain types of infections. It will not work for viral infections (such as flu). Unnecessary use or misuse of any antibiotic can lead to its decreased effectiveness. A drug combination with broad-spectrum antibacterial activity against both gram-positive and gram-negative organisms. It is effective in the treatment of many infections, including PNEUMOCYSTIS PNEUMONIA in AIDS. In 2023, this provider wrote 99 Medicare prescriptions for Sulfamethoxazole-Trimethoprim, about 3.8 times the volume of the typical Tennessee prescriber of this medication (26). Medicare paid an average of $5.13 per fill, versus $6.07 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average TN prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TN average for this medication. 99 30-Day Fills standardized to 30-day supplies 707 Days of Medication total across all patients in 2023 | |||
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 53 | $3.63▼ below TN avg | ▼ Less than typical |
About Hydrocodone-Acetaminophen: This combination medication is used to relieve moderate to severe pain. Show more ▾ It contains an opioid pain reliever (hydrocodone) and a non-opioid pain reliever (acetaminophen). Hydrocodone works in the brain to change how your body feels and responds to pain. Acetaminophen can also reduce a fever. In 2023, this provider wrote 53 Medicare prescriptions for Hydrocodone-Acetaminophen, about half the volume of the typical Tennessee prescriber of this medication (101). Medicare paid an average of $3.63 per fill, versus $20.01 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TN prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TN average for this medication. 53 30-Day Fills standardized to 30-day supplies 159 Days of Medication total across all patients in 2023 | |||
| Ondansetron OdtOndansetron | 42 | $5.87▼ below TN avg | ▲ More than typical |
About Ondansetron Odt: This medication is used alone or with other medications to prevent nausea and vomiting caused by cancer drug treatment (chemotherapy) and radiation therapy. Show more ▾ It is also used to prevent and treat nausea and vomiting after surgery. Ondansetron works by blocking one of the body's natural substances (serotonin) that causes vomiting. A competitive serotonin type 3 receptor antagonist. It is effective in the treatment of nausea and vomiting caused by cytotoxic chemotherapy drugs, including cisplatin, and has reported anxiolytic and neuroleptic properties. In 2023, this provider wrote 42 Medicare prescriptions for Ondansetron Odt, about 1.6 times the volume of the typical Tennessee prescriber of this medication (26). Medicare paid an average of $5.87 per fill, versus $21.39 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average TN prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TN average for this medication. 42 30-Day Fills standardized to 30-day supplies 170 Days of Medication total across all patients in 2023 | |||
| Pantoprazole Sodium | 35 | $6.10▼ below TN avg | ▼ Less than typical |
About Pantoprazole Sodium: Pantoprazole is used to treat certain stomach and esophagus problems (such as acid reflux). Show more ▾ It works by decreasing the amount of acid your stomach makes. This medication relieves symptoms such as heartburn, difficulty swallowing, and cough. It helps heal acid damage to the stomach and esophagus, helps prevent ulcers, and may help prevent cancer of the esophagus. Pantoprazole belongs to a class of drugs known as proton pump inhibitors (PPIs). 2-pyridinylmethylsulfinylbenzimidazole proton pump inhibitor that is used in the treatment of GASTROESOPHAGEAL REFLUX and PEPTIC ULCER. In 2023, this provider wrote 35 Medicare prescriptions for Pantoprazole Sodium, about a third of the volume of the typical Tennessee prescriber of this medication (94). Medicare paid an average of $6.10 per fill, versus $16.18 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TN prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TN average for this medication. 35 30-Day Fills standardized to 30-day supplies 1,050 Days of Medication total across all patients in 2023 | |||
| Metronidazole | 30 | $7.49▼ below TN avg | ▲ More than typical |
About Metronidazole: This medication is used on the skin to treat a certain skin disorder known as rosacea, a type of adult acne. Show more ▾ It may help to decrease redness, swelling and the number of pimples caused by rosacea. This medication is an antibiotic. For the treatment of rosacea, metronidazole is believed to work by decreasing swelling (inflammation). Some brands of this medication also contain sunscreens (see also Notes section). A nitroimidazole used to treat AMEBIASIS; VAGINITIS; TRICHOMONAS INFECTIONS; GIARDIASIS; ANAEROBIC BACTERIA; and TREPONEMAL INFECTIONS. In 2023, this provider wrote 30 Medicare prescriptions for Metronidazole, about 1.6 times the volume of the typical Tennessee prescriber of this medication (19). Medicare paid an average of $7.49 per fill, versus $40.05 statewide. How often this provider prescribes it This provider prescribes this medication more often than the average TN prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TN average for this medication. 30 30-Day Fills standardized to 30-day supplies 300 Days of Medication total across all patients in 2023 | |||
| Albuterol Sulfate HfaAlbuterol Sulfate | 29 | $25.59▼ below TN avg | ▼ Less than typical |
About Albuterol Sulfate Hfa: Albuterol (also known as salbutamol) is used to treat wheezing and shortness of breath caused by breathing problems such as asthma. Show more ▾ It is a quick-relief medication. Albuterol belongs to a class of drugs known as bronchodilators. It works by relaxing the muscles around the airways so that they open up and you can breathe more easily. Controlling symptoms of breathing problems can decrease time lost from work or school. A short-acting beta-2 adrenergic agonist that is primarily used as a bronchodilator agent to treat ASTHMA. Albuterol is prepared as a racemic mixture of R(-) and S(+) stereoisomers. The stereospecific preparation of R(-) isomer of albuterol is referred to as levalbuterol. In 2023, this provider wrote 29 Medicare prescriptions for Albuterol Sulfate Hfa, about half the volume of the typical Tennessee prescriber of this medication (66). Medicare paid an average of $25.59 per fill, versus $50.30 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TN prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TN average for this medication. 41.7 30-Day Fills standardized to 30-day supplies 1,240 Days of Medication total across all patients in 2023 | |||
| Ibuprofen | 26 | $4.66▼ below TN avg | ≈ Typical |
About Ibuprofen: Ibuprofen is used to help relieve mild to moderate pain. Show more ▾ When used with an opioid (such as morphine), it may be used to relieve moderate to severe pain. It is also used to reduce fever. Ibuprofen is known as a nonsteroidal anti-inflammatory drug (NSAID). It works by blocking your body's production of certain natural substances that cause inflammation. This effect helps to decrease swelling, pain, or fever. A non-steroidal anti-inflammatory agent with analgesic, antipyretic, and anti-inflammatory properties In 2023, this provider wrote 26 Medicare prescriptions for Ibuprofen, about 76% of the volume of the typical Tennessee prescriber of this medication (34). Medicare paid an average of $4.66 per fill, versus $13.09 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average TN prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TN average for this medication. 26 30-Day Fills standardized to 30-day supplies 376 Days of Medication total across all patients in 2023 | |||
| Clindamycin Hcl | 20 | $5.73▼ below TN avg | ≈ Typical |
About Clindamycin Hcl: Clindamycin is used to treat a wide variety of bacterial infections. Show more ▾ It is an antibiotic that works by stopping the growth of bacteria. This antibiotic treats only bacterial infections. It will not work for virus infections (such as common cold, flu). Using any antibiotic when it is not needed can cause it to not work for future infections. An antibacterial agent that is a semisynthetic analog of LINCOMYCIN. In 2023, this provider wrote 20 Medicare prescriptions for Clindamycin Hcl, about the same volume as the typical Tennessee prescriber of this medication (22). Medicare paid an average of $5.73 per fill, versus $11.24 statewide. How often this provider prescribes it This provider's prescribing volume for this medication is in line with the average TN prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TN average for this medication. 20 30-Day Fills standardized to 30-day supplies 140 Days of Medication total across all patients in 2023 | |||
| Cyclobenzaprine Hcl | 19 | $5.43▼ below TN avg | ▼ Less than typical |
About Cyclobenzaprine Hcl: Cyclobenzaprine is used short-term to treat muscle spasms. Show more ▾ It is usually used along with rest and physical therapy. It works by helping to relax the muscles. This medication is not recommended for use in older adults because they may be at greater risk for side effects while using this drug. Ask the doctor or pharmacist for details. In 2023, this provider wrote 19 Medicare prescriptions for Cyclobenzaprine Hcl, about half the volume of the typical Tennessee prescriber of this medication (38). Medicare paid an average of $5.43 per fill, versus $14.26 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TN prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TN average for this medication. 19 30-Day Fills standardized to 30-day supplies 347 Days of Medication total across all patients in 2023 | |||
| Amoxicillin | 16 | $3.42▼ below TN avg | ▼ Less than typical |
About Amoxicillin: Amoxicillin is used to treat a wide variety of bacterial infections. Show more ▾ This medication is a penicillin-type antibiotic. It works by stopping the growth of bacteria. This antibiotic treats only bacterial infections. It will not work for viral infections (such as common cold, flu). Using any antibiotic when it is not needed can cause it to not work for future infections. Amoxicillin is also used with other medications to treat stomach/intestinal ulcers caused by the bacteria H. pylori and to prevent the ulcers from returning. A broad-spectrum semisynthetic antibiotic similar to AMPICILLIN except that its resistance to gastric acid permits higher serum levels with oral administration. In 2023, this provider wrote 16 Medicare prescriptions for Amoxicillin, about a third of the volume of the typical Tennessee prescriber of this medication (39). Medicare paid an average of $3.42 per fill, versus $4.45 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TN prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TN average for this medication. 16 30-Day Fills standardized to 30-day supplies 154 Days of Medication total across all patients in 2023 | |||
| Amoxicillin-Clavulanate PotassAmoxicillin/Potassium Clav | 16 | $9.39▼ below TN avg | ▼ Less than typical |
About Amoxicillin-Clavulanate Potass: Amoxicillin/clavulanic acid is a combination penicillin-type antibiotic used to treat a wide variety of bacterial infections. Show more ▾ It works by stopping the growth of bacteria. This antibiotic treats only bacterial infections. It will not work for viral infections (such as common cold, flu). Using any antibiotic when it is not needed can cause it to not work for future infections. A fixed-ratio combination of amoxicillin trihydrate and potassium clavulanate. In 2023, this provider wrote 16 Medicare prescriptions for Amoxicillin-Clavulanate Potass, about half the volume of the typical Tennessee prescriber of this medication (28). Medicare paid an average of $9.39 per fill, versus $14.17 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TN prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TN average for this medication. 16 30-Day Fills standardized to 30-day supplies 115 Days of Medication total across all patients in 2023 | |||
| Ketorolac Tromethamine | 14 | $23.71▼ below TN avg | ▼ Less than typical |
About Ketorolac Tromethamine: This medication is used to temporarily relieve itching eyes caused by seasonal allergies. Show more ▾ It is also used to prevent and treat eye swelling due to a certain type of eye surgery (cataract removal). Ketorolac belongs to a class of drugs known as nonsteroidal anti-inflammatory drugs (NSAIDs). It works by blocking certain natural substances in your body to reduce pain and swelling. A pyrrolizine carboxylic acid derivative structurally related to INDOMETHACIN. It is a non-steroidal anti-inflammatory agent used for analgesia for postoperative pain and inhibits cyclooxygenase activity. In 2023, this provider wrote 14 Medicare prescriptions for Ketorolac Tromethamine, about a quarter of the volume of the typical Tennessee prescriber of this medication (60). Medicare paid an average of $23.71 per fill, versus $25.80 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TN prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TN average for this medication. 14 30-Day Fills standardized to 30-day supplies 71 Days of Medication total across all patients in 2023 | |||
| Lactulose | 13 | $11.49▼ below TN avg | ▼ Less than typical |
About Lactulose: This medication is a laxative used to treat constipation. Show more ▾ It may help to increase the number of bowel movements per day and the number of days you have a bowel movement. Lactulose is a colonic acidifier that works by increasing stool water content and softening the stool. It is a man-made sugar solution. A synthetic disaccharide used in the treatment of constipation and hepatic encephalopathy. It has also been used in the diagnosis of gastrointestinal disorders. (From Martindale, The Extra Pharmacopoeia, 30th ed, p887) In 2023, this provider wrote 13 Medicare prescriptions for Lactulose, about half the volume of the typical Tennessee prescriber of this medication (30). Medicare paid an average of $11.49 per fill, versus $31.86 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TN prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TN average for this medication. 13.3 30-Day Fills standardized to 30-day supplies 328 Days of Medication total across all patients in 2023 | |||
| Famotidine | 12 | $4.57▼ below TN avg | ▼ Less than typical |
About Famotidine: Famotidine is used to treat ulcers of the stomach and intestines and to prevent intestinal ulcers from coming back after they have healed. Show more ▾ This medication is also used to treat certain stomach and throat (esophagus) problems (such as erosive esophagitis, gastroesophageal reflux disease-GERD, Zollinger-Ellison syndrome). It works by decreasing the amount of acid your stomach makes. It relieves symptoms such as cough that doesn't go away, stomach pain, heartburn, and difficulty swallowing. Famotidine belongs to a class of drugs known as H2 blockers. This medication is also available without a prescription. It is used to prevent and treat heartburn and other symptoms caused by too much acid in the stomach (acid indigestion). If you are taking this medication for self-treatment, it is important to read the manufacturer's package instructions carefully so you know when to consult your doctor or pharmacist. A competitive histamine H2-receptor antagonist. Its main pharmacodynamic effect is the inhibition of gastric secretion. In 2023, this provider wrote 12 Medicare prescriptions for Famotidine, about a third of the volume of the typical Tennessee prescriber of this medication (38). Medicare paid an average of $4.57 per fill, versus $7.85 statewide. How often this provider prescribes it This provider prescribes this medication less often than the average TN prescriber. Utilization reflects practice size as well as clinical preference. What Medicare paid per fill This provider's average cost per fill is below the TN average for this medication. 12 30-Day Fills standardized to 30-day supplies 360 Days of Medication total across all patients in 2023 | |||
About this data. The prescription history for DR. KEITH RANDALL GOULD DO is compiled from the Centers for Medicare & Medicaid Services (CMS) Medicare Part D Prescriber Public Use File for calendar year 2023, the most recent federal release. Figures cover prescriptions filled for Medicare Part D beneficiaries only; prescriptions under private insurance, Medicaid, or self-pay plans are not included. Because prescribing decisions are generally consistent across coverage types, this record offers a useful view of the overall Emergency Medicine prescribing approach at this Paris, TN practice.
Reading the costs. Drug costs are gross amounts paid to pharmacies under Part D, including both plan and beneficiary payments. They are not the price a patient pays at the pharmacy counter. Medications with fewer than 11 claims are excluded from the federal source data, and state comparisons use the average volume among TN prescribers of the same medication. Always confirm current medications and costs directly with the provider and your plan.
